MATTHEW H JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

JACKSON

Business Name

MATTHEW H JACKSON

Original Issue Date

02/22/2017

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026